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Report a Complaint or Incident

  • Report a complaint regarding a health care facility
    Individuals can call or email to make complaints about care provided at any licensed or certified Indiana health care providers or suppliers.
  • Report an incident regarding a health care facility
    The Incident Report Form is for health care facilities to notify the Indiana State Department of Health of a reportable incident pursuant to the ISDH Reportable Unusual Occurrence Policy.  The Incident Report Form is also for health care facility staff (nursing homes, intermediate care facilities, and hospice agencies) to report a reasonable suspicion of a crime against a resident pursuant to Federal regulations.  This form is not to be used to file a complaint.